Provider Demographics
NPI:1366653172
Name:GILBERT, THOMAS DANIEL (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DANIEL
Last Name:GILBERT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8415 PULSAR PL
Mailing Address - Street 2:STE 120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-4032
Mailing Address - Country:US
Mailing Address - Phone:614-436-1000
Mailing Address - Fax:614-430-9388
Practice Address - Street 1:8415 PULSAR PL
Practice Address - Street 2:STE 120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4032
Practice Address - Country:US
Practice Address - Phone:614-436-1000
Practice Address - Fax:614-430-9388
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH3118152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management